Organization
PEDIATRIC SERVICES OF AMERICA, LLC
Active
Organization
PEDIATRIC SERVICES OF AMERICA, LLC
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WHITESIDE (AVP, REGULATORY LICENSING)
(770) 248-8740
Entity
Organization
Contact information
Practice address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(770) 248-8740
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(770) 441-1580
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
03/31/2021
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